- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,307.80 / $19,052.30 / $21,560.70
| Facility | | $12,307.80 | $19,052.30 | $21,560.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,921.76 / $18,031.31 / $24,799.74
| Facility | | $11,921.76 | $18,031.31 | $24,799.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,365.40 / $17,538.02 / $26,777.70
| Facility | | $11,365.40 | $17,538.02 | $26,777.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,932.00 / $19,883.00 / $26,741.00
| Facility | | $11,932.00 | $19,883.00 | $26,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $22,019.29 / $29,305.91
| Facility | | $5,274.00 | $22,019.29 | $29,305.91 |